Lewis, Michael Bateman

Lewis, Michael Bateman is an individual health care provider with primary practice located at 55 Fruit St Wrn 11, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Lewis, Michael Bateman can be contacted via phone (617) 726-0376.

Contact Information

Primary practice address
55 Fruit St Wrn 11 Boston MA 02114-2621
Phone: (617) 726-0376
Fax: (617) 726-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 29674 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 29674 Massachusetts

Profile Details

NPI number 1447240015
LBN Legal business name Lewis, Michael Bateman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447240015 NPPES
Massachusetts Other 029674 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2014521 TUFTS HEALTH PLAN
Massachusetts Other M08459 TUFTS HEALTH PLAN

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